HomeMy WebLinkAbout1307 PINE AVE; ; 75-3174; PermitApplicant to complete numbered spaces only.
BUILDtRG PERMIT APPLI-
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit NO*? «? *"
JOB ADDRESS
ATTAtHED SHEET)
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE PAR
MAIL ADDRESS
COrfTWACTOR MAIL. ADDRESS
ff
LICENSE NO. STATE CITY
ARCHITECT OR DESIGNER MAIL ADDHESS LICENSE HO.
ENCINCEH MAIL ADDRESS LICENSE NO.
COMPENSATION JNS. CARRIE MAIL ADDRESS
USE OP BUILDING
8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $PLAN CHECK FEE S PERMIT F,£E S
SPECIAL-CONDITIONS:Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. F
No. Of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY PLANS CHECKED BY DFOR ISSUANCE BY
Firs
Zone
Use
Zone
Fire Sprinklers
Required Dve
No. of
Dwelling Unite
OFFSTREET
No.Covered
PARKING SPACES: «
I No.Sg. Ft. Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 12Q DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT-ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN- OR NOT. THE GRANTING 'OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT«
WATER DEPT.
Required Received Not
SIGNATURE OF CONTRACTOR OH AUTHORIZED AGENT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR